The (14531) Patient Sign-In Form provides a HIPAA-compliant way to protect patient privacy during check-in. Each form includes removable numbered label strips to maintain confidentiality once detached. Staff can apply the labels directly to charts for easy tracking, while the backing paper conceals patient information for security.
Key Features:
- Form Number: 14531
- Form Size: 8-1/2" x 11"
- Numbering: 1-23
- Columns: 6
- Forms per Page: 1
- Entry Lines: 23
- Quantity: 125 Sheets per Pack
Supports daily patient log tracking while keeping personal information confidential.
| Color: |
Blue |
| Label Rolls Or Sheets: |
Sheets |
| Width: |
8.50
in
|
| Height: |
1.75
in
|
| Depth: |
11.63
in
|
No additional information available.